Codac Inc
Codac Inc is a healthcare organization registered as Methadone Clinic in Providence, RI, holding Type 2 (organization) NPI 1215153945 since 2007. The authorized official on file is Alisha Bourdeau, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215153945 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Codac Inc |
| Other name | <Unavail> |
| Practice address | 349 HUNTINGTON AVE, CODAC PROVIDENCE, Providence, RI, 02909 |
| Phone | 4019421450 |
| Fax | 4019461550 |
| Enumeration date | 2007-04-18 |
| Last updated in NPPES | 2021-12-21 |
Authorized official
| Name | Alisha Bourdeau |
|---|---|
| Title | Cfo |
| Phone | 4012755038 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | Secondary | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | Secondary | ACF01632 | RI |
| 251K00000X | Public Health or Welfare Agency | Secondary | 605.5 | RI |
| 261QM2800X | Methadone Clinic | Secondary | 605.5 | RI |
| 261QP2300X | Primary Care Clinic/Center | Secondary | ACF01632 | RI |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 605.5 | RI |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 605.05 | RI |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | Secondary | 605.5 | RI |
| 261QM2800X | Methadone Clinic | Primary | 605.05 | RI |
Copy-ready billing details
Provider: Codac Inc NPI: 1215153945 Taxonomy: 261QM2800X (Methadone Clinic) Address: 349 HUNTINGTON AVE, CODAC PROVIDENCE, Providence, RI, 02909
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801018932 | Orrie Brauer | Individual | Addiction (Substance Use Disorder) Counselor | Providence, RI |
| 1417353251 | John Burns | Individual | Addiction (Substance Use Disorder) Counselor | Providence, RI |
| 1306242045 | Peter Murphy | Individual | Mental Health Counselor | Providence, RI |
| 1205340742 | Jessica Keefe | Individual | Family Nurse Practitioner | Providence, RI |
| 1447944111 | Codac Healthcare, LLC | Organization | Multi-Specialty Clinic/Center | Providence, RI |
| 1306692595 | Raymond Lorraine | Individual | Addiction (Substance Use Disorder) Counselor | Providence, RI |
| 1467208603 | Natasha Amaral | Individual | Addiction (Substance Use Disorder) Counselor | Providence, RI |
| 1144034075 | Sharon Tatalo | Individual | Addiction (Substance Use Disorder) Counselor | Providence, RI |
Verify this record
Cross-check NPI 1215153945 against the authoritative CMS record: view Codac Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Codac Inc?
What is the NPI number for Codac Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-12-21.